| NPI | 1467745588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR DO167186) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT DO167186) |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2021-11-30 |